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21st International Congress of Parkinson’s Disease and Movement Disorders PRELIMINARY PROGRAM June 4–8, 2017 VANCOUVER British Columbia, Canada Table of Contents Invitation Letter.................................................................................................... 1 About MDS............................................................................................................ 2 Purpose, Mission and Goals............................................................................ 2 MDS Officers (2015-2017).............................................................................. 3 Congress Scientific Program Committee......................................................... 3 Congress Local Organizing Committee........................................................... 3 Past-Presidents.............................................................................................. 3 International Medical Society for Motor Disturbances Past-Presidents.............................................................................................. 3 MDS International Secretariat........................................................................ 3 International Congress Information...................................................................... 4 Dates.............................................................................................................. 4 Official Language........................................................................................... 4 Venue............................................................................................................. 4 Exhibition....................................................................................................... 4 Abstract Poster Information .......................................................................... 4 Registration................................................................................................... 4 Fees (in USD): ................................................................................................ 4 Registration Confirmation.............................................................................. 4 Cancellation/Refund Policy............................................................................ 4 Group Registration......................................................................................... 5 Registration Desk........................................................................................... 5 Scientific Sessions.......................................................................................... 5 Special Accessibility Needs............................................................................. 5 Camera Policy................................................................................................. 5 Weather......................................................................................................... 5 International Congress Events............................................................................... 6 Sunday, June 4, 2017..................................................................................... 6 Wednesday, June 7, 2017............................................................................... 6 CME Information................................................................................................... 7 Purpose.......................................................................................................... 7 Learning Objectives........................................................................................ 7 Accreditation Statement................................................................................ 7 Credit Designation......................................................................................... 7 Target Audience............................................................................................. 7 Schedule-At-A-Glance.......................................................................................... 8 Session Definitions................................................................................................ 9 Daily Schedule.................................................................................................... 10 Sunday, June 4, 2017 ................................................................................... 10 Monday, June 5, 2017.................................................................................. 11 Tuesday, June 6, 2017.................................................................................. 15 Wednesday, June 7, 2017............................................................................. 19 Thursday, June 8, 2017................................................................................. 23 Get Connected at the International Congress...................................................... 25 Faculty Listing..................................................................................................... 26 Acknowledgements............................................................................................ 34 Membership Information.................................................................................... 35 2017 Important Dates......................................................................................... 36 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Invitation Letter Dear Colleagues, On behalf of the International Parkinson and Movement Disorder Society (MDS), we are pleased to formally invite you to attend the 21st International Congress of Parkinson’s Disease and Movement Disorders in Vancouver, BC, Canada from June 4-8, 2017. The city of Vancouver is home to a vast multicultural population, endless activities, and amazing scenery. The city takes advantage of its great location, bordered by the Pacific Ocean and the Coastal mountain range, providing an amazing backdrop no matter where you look. Each year, the International Congress attracts delegates from around the world who come to learn about the latest research and perspectives, to listen to world renowned speakers, and to be exposed to the most up-to-date information in the field of Movement Disorders. We look forward to welcoming you to Vancouver and hope you will take advantage of the many exciting educational opportunities the 2017 International Congress offers. With kind regards, Oscar Gershanik President, International Parkinson and Movement Disorder Society, 2015-2017 Christine Klein Chair, Congress Scientific Program Committee, 2015-2017 A. Jon Stoessl Co-Chair, Congress Scientific Program Committee, 2017 1 About MDS The International Parkinson and Movement Disorder Society (MDS) is a professional society of clinicians, scientists, and other healthcare professionals who are interested in Parkinson’s disease, related neurodegenerative and neurodevelopmental disorders, hyperkinetic movement disorders, and abnormalities in muscle tone and motor control. Purpose, Mission and Goals Purpose: The objective and mission of the Society shall be to advance the neurological sciences pertaining to Movement Disorders; to improve the diagnosis and treatment of patients; to operate exclusively for scientific, scholarly and educational purposes; to encourage research; to provide forums, such as medical journals, scientific symposia and International Congresses, for sharing ideas and for advancing the related clinical and scientific disciplines; to encourage interest and participation in the activities of the Society among healthcare and allied professionals and scientists; and to collaborate with other related professional and lay organizations. Mission and Goals: To disseminate knowledge about Movement Disorders by: • Providing educational programs for clinicians, scientists and the general public designed to advance scientific and clinical knowledge about Movement Disorders • Sponsoring International Congresses and Symposia on Movement Disorders • Collaborating with other international organizations and lay groups • Publishing journals, videotapes and other collateral materials committed to high scientific standards and peer review To promote research into causes, prevention and treatment of movement disorders by: • Using the Society’s influence and resources to enhance support for research • Facilitating the dissemination of information about research • Encouraging the training of basic and clinical scientists in Movement Disorders and related disorders For the purposes of favorably affecting the care of patients with movement disorders, the Society will provide expertise, advice and guidance to: • Regulatory agencies to assist them in the approval process of safe and effective therapeutic interventions • The public (media) and patient support groups by informing them of new research and therapeutic advances • Governments to assist them in the development of policies that affect support of research and patient care • Educational efforts to assist in developing standards of training in the specialty 2 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org About MDS MDS Officers (2015-2017) President Oscar Gershanik, Argentina President-Elect Christopher Goetz, USA Secretary Claudia Trenkwalder, Germany MDS International Executive Committee Paolo Barone, Italy Daniela Berg, Germany Bastiaan Bloem, Netherlands Carlos Cosentino, Peru Beom Jeon, Korea Jeffrey Kordower, USA Michael Okun, USA Ryosuke Takahashi, Japan Louis Tan, Singapore Mark Stacy, USA International Congress Oversight Committee Chair: Philip Thompson, Australia David John Burn, United Kingdom Günther Deuschl, Germany Oscar Gershanik, Argentina Christopher Goetz, USA Christine Klein, Germany Matthew Stern, USA A. Jon Stoessl, Canada Congress Scientific Program Committee Chair: Christine Klein, Germany Co-Chair: A. Jon Stoessl, Canada Charles Adler, USA Tim Anderson, New Zealand Vincenzo Bonifati, Netherlands K. Ray Chaudhuri, United Kingdom Secretary-Elect Susan Fox, Canada Treasurer David John Burn, United Kingdom Marie-Francoise Chesselet, USA Carlo Colosimo, Italy Marina de Koning-Tijssen, Netherlands Kelly Foote, USA Steven Frucht, USA Oscar Gershanik, Argentina Christopher Goetz, USA Günter Höglinger, Germany Beomseok Jeon, Korea Hyder Jinnah, USA Micaela Morelli, Italy Elena Moro, France Alice Nieuwboer, Belgium Stéphane Palfi, France Irena Rektorova, Czech Republic Raymond Rosales, Philippines Eng-King Tan, Singapore Philip Thompson, Australia Lars Timmerman, Germany Yoshikazu Ugawa, Japan Miquel Vila, Spain Congress Local Organizing Committee Chair: A. Jon Stoessl Silke Appel-Cresswell Doris Doudet Matthew Farrer Wayne Martin Martin McKeown Oury Monchi Vesna Sossi Joseph Tsui Treasurer-Elect Victor Fung, Australia Past-President Matthew Stern, USA Past-Presidents 2013-2015 Matthew Stern, USA 2011-2013 Günther Deuschl, Germany 2009-2011 Philip Thompson, Australia 2007-2009 Anthony Lang, Canada 2005-2006 Andrew Lees, United Kingdom 2003-2004 C. Warren Olanow, USA 2001-2002 Werner Poewe, Austria 1999-2000 Mark Hallett, USA 1997-1998 Eduardo Tolosa, Spain 1995-1996 Joseph Jankovic, USA 1991-1994 C. David Marsden, United Kingdom 1988-1991 Stanley Fahn, USA International Medical Society for Motor Disturbances Past-Presidents 1993-1994 C. Warren Olanow, USA 1991-1992 Bastian Conrad, Germany 1989-1990 Mark Hallett, USA 1987-1988 Mario Manfredi, Italy 1985-1986 C. David Marsden, United Kingdom MDS International Secretariat International Parkinson and Movement Disorder Society 555 East Wells Street, Suite 1100 Milwaukee, WI 53202-3823 USA Tel: +1 414-276-2145 Fax: +1 414-276-3349 E-mail: [email protected] Website: www.movementdisorders.org 3 International Congress Information Dates Registration Sunday, June 4 through Thursday, June 8, 2017 Visit www.mdscongress2017.org/Congress-2017/Registration.htm to register online. Official Language The official language of the International Congress is English. Fees (in USD): Venue On or before April 3, 2017 From April 4 – May 2, 2017 From May 3 – June 8, 2017 Vancouver Convention Centre – WEST 1055 Canada Place Vancouver, BC V6C 0C3 Canada MDS Member $600 $650 $700 Non-member $800 $850 $900 $350 $375 $400 Exhibition Junior Member/ Participant* Health Professional (Non-Physician) $350 $375 $400 Manufacturers, distributors and suppliers of products and services for physicians and researchers involved with Movement Disorders are invited to participate in the International Congress exhibition. To receive a copy of the Exhibitor Prospectus, please contact the MDS International Secretariat at [email protected] or visit the International Congress section of the MDS website at www.mdscongress2017.org/Congress-2017/ SponsorshipExhibit.htm. The exhibition is open to all registered delegates. Abstract Poster Information Poster Sessions will be featured Monday through Thursday during the International Congress to ensure delegates are given the opportunity to review as many abstracts as possible. Please visit www.mdscongress2017.org/Congress-2017/Abstracts.htm for a detailed poster schedule, including information about Guided Poster Tours. Full registration includes: • Access to all scientific sessions • Access to poster sessions • Access to the exhibition • Delegate material • Final Program • Abstracts on USB • Registration bag • Entrance to Welcome Ceremony • Entrance to MDS Video Challenge • Daily morning coffee break Note: Lunch is NOT provided as a part of the registration fees. *Junior Members of MDS, those born after January 1, 1987, residents, fellows and those still in training. Please fax or e-mail a copy of an official document indicating age or a letter from your employer stating training status to be eligible for this discount. Without documentation, the delegate will be charged the non-member rate (Fax: +1 514-289-9844 or e-mail: [email protected] within one week of submitting registration). Registration Confirmation Attendees who register online will receive a confirmation message immediately. Please present this confirmation at the International Congress registration desk in Vancouver to receive your registration materials. Cancellation/Refund Policy All cancellations must be requested in writing. Up to May 2, 2017 (final registration deadline): 100% refund, minus a $75 administrative charge From May 3 to May 23, 2017: 50% refund From May 24, 2017 onward: no refund 4 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org International Congress Information Group Registration Scientific Sessions Groups may be formed of six (6) or more delegates from the same company/travel agency. The 2017 Scientific Program will incorporate Therapeutic Plenary Sessions, Plenary and Parallel Sessions, Teaching Courses, Video Sessions, Skills Workshops, Guided Poster Tours and Blue Ribbon Highlights. Group leaders will be able to continually make changes to the group until the final pre-registration deadline of May 2, 2017. Registration Desk Name badges, scientific session tickets, Final Programs, USBs with the full abstract list, and International Congress bags can be collected at the International Congress Registration Area on Level 1 during the following hours*: Saturday, June 3 Sunday, June 4 Monday, June 5 Tuesday, June 6 Wednesday, June 7 Thursday, June 8 16:00 – 20:00 7:00 – 20:00 7:00 – 18:00 7:00 – 18:00 7:00 – 18:00 7:00 – 16:00 *Please note that these hours are subject to change. Please watch for updated schedules at www.mdscongress2017.org and look for the schedule in the Final Program. Sessions will focus on the latest developments in: • Pathophysiology of Basal Ganglia Disorders: From Cell to System to Patient • Movement Disorder topics, including, but not limited to, ataxia, chorea, dystonia, myoclonus, Parkinson’s disease, restless legs syndrome, spasticity, stereotypies, tics and tremors • Basic Science issues, including, but not limited to, genetics, neuroimaging, neuropharmacology, surgical therapy and transplantation • Other less common clinical conditions Special Accessibility Needs Delegates requiring special arrangements in order to fully participate in the International Congress should provide a written description of such needs on their registration form or send an e-mail to [email protected]. To ensure appropriate accommodations, all special needs should be addressed in advance with the MDS International Secretariat. Camera Policy Cameras are not permitted in any of the 21st International Congress educational sessions or in the poster areas. Weather The temperature in Vancouver in June averages 11-19 degrees Celsius (52-66 degrees Fahrenheit). 5 International Congress Events Sunday, June 4, 2017 Welcome Ceremony 19:30 – 21:30 All International Congress attendees are warmly invited to attend the International Congress Welcome Ceremony at the Vancouver Convention Centre-WEST. This event is open to all registered delegates. Wednesday, June 7, 2017 MDS Video Challenge 19:00 – 22:00 Please join Masters of Ceremony, Anthony Lang and Kapil Sethi, as they host a world-renowned panel of Movement Disorders experts in guiding participants through unique Movement Disorder cases. The cases will be presented by representatives from Movement Disorder Centers around the world and discussed by the Panel of Experts. Awards will be given for the most interesting and challenging cases. Country pride will add an enjoyable spirit of competition to this event. The goal of this session is for attendees to learn from a series of unusual, very interesting patients and see how senior experts approach these types of challenging cases. The Panel of Experts are: Kailash Bhatia, United Kingdom Alberto Espay, United States Jennifer Friedman, United States Victor Fung, Australia Claudia Trenkwalder, Germany This event is open to all registered delegates. For more information about the MDS Video Challenge, please contact Sarah Smith at [email protected]. 6 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org CME Information Purpose Accreditation Statement The purpose of the 21st International Congress of Parkinson’s Disease and Movement Disorders is to offer a forum for clinical and basic discussion on a variety of movement disorder topics, including presentations of current research and available treatments. The International Parkinson and Movement Disorder Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Learning Objectives Through state-of-the-art lectures, hot topic reviews, controversy debates, Teaching Courses, Skills Workshops and Video Sessions, participants will be better able to: 1. Describe the pathophysiology and neurobiology of Parkinson’s disease and other movement disorders; 2. Discuss the diagnostic approaches and tools available for Parkinson’s disease and other movement disorders; 3. Discuss the pharmacological and non-pharmacological treatment options available for Parkinson’s disease and other movement disorders. Credit Designation The International Parkinson and Movement Disorder Society designates this live activity for a maximum of 35 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in the activity. Target Audience The target audience of the 21st International Congress of Parkinson’s Disease and Movement Disorders includes clinicians, researchers, post-doctoral fellows, medical residents, medical students and other healthcare professionals with an interest in the current research and approaches for the diagnosis and treatment of movement disorders. 7 Schedule-At-A-Glance Sunday, June 4 Monday, June 5 Tuesday, June 6 Wednesday, June 7 Thursday, June 8 Committee Meetings 7:00 - 8:00 Committee Meetings 7:00 - 8:00 Committee Meetings 7:00 - 8:00 Committee Meetings 7:00 - 8:00 Committee Meetings 7:00 - 8:00 Therapeutic Plenary Session 8:00 -10:00 Plenary Session (Presidential Lectures) 8:00 - 10:00 Plenary Session 8:00 - 10:00 Plenary Session 8:00 - 9:30 Plenary Session 8:00 - 9:30 Break 9:30 - 10:00 Break 9:30 - 10:00 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 Regional Assemblies 10:00-11:00 Break 10:00 - 10:30 Break 10:00 - 11:00 MDS Business Meeting 10:00 - 11:00 11:00 Plenary Session 10:30 - 12:30 11:30 12:00 Therapeutic Plenary Session 11:00 - 13:00 12:30 13:00 13:30 14:00 Break 13:00 - 14:30 Corporate Therapeutic Symposia 13:15 - 14:15 14:30 Plenary Session 10:00 - 12:00 (Grand Rounds) Plenary Session 11:00 - 12:30 Break 12:30 - 12:45 Break 12:30 - 12:45 Corporate Therapeutic Symposia 12:45 - 13:45 Corporate Therapeutic Symposia 12:45 - 13:45 Break/ Guided Poster Tours/ Poster Sessions 13:45 - 15:15 Break/ Guided Poster Tours/ Poster Sessions 13:45 - 15:15 Break 15:15 - 15:30 Break 15:15 - 15:30 Controversies 10:00 - 11:00 Blue Ribbon Highlights 11:00- 12:00 Break 12:00 - 12:15 Break 12:00 - 12:15 Corporate Therapeutic Symposia 12:15 - 13:15 Corporate Therapeutic Symposia 12:15 - 13:15 Break/ Guided Poster Tours/ Poster Sessions 13:15 - 14:45 Break/ Guided Poster Tours/ Poster Sessions 13:15 - 14:45 Break 14:45 - 15:00 Break 14:45 - 15:00 Parallel Sessions/ Teaching Courses 15:00 - 17:00 Parallel Sessions/ Teaching Courses 15:00 - 17:00 15:00 15:30 Therapeutic Plenary Session 14:30 - 16:30 16:00 16:30 Break 16:30 - 17:00 Parallel Sessions/ Teaching Courses 15:30 - 17:30 Parallel Sessions/ Teaching Courses 15:30 - 17:30 17:00 Break 17:00 - 17:30 17:30 18:00 Therapeutic Plenary Session 17:00 - 19:00 18:30 19:00 Break 17:30 - 18:00 Break 17:30 - 18:00 Skills Workshops/ Video Sessions 17:30 - 19:00 Skills Workshops/ Video Sessions 18:00 - 19:30 Skills Workshops/ Video Sessions 18:00 - 19:30 Break 19:00 - 19:30 Scan to learn more on our website 19:30 20:00 20:30 21:00 21:30 8 Welcome Ceremony 19:30 - 21:30 MDS Video Challenge 19:00 - 22:00 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Session Definitions Blue Ribbon Highlights Skills Workshops This session will provide a critical review of the best poster presentations by a panel of experts, highlighting the relevance, novelty and quality of both clinical and basic research presented by the delegates. These clinic-based training sessions provide an educational illustration of clinical techniques and treatment procedures through demonstrations utilizing patient videotapes and proper equipment to further develop practitioners’ skills and knowledge within the field of treatment of movement disorders. Controversies This Plenary Session is designed to involve all International Congress attendees. Content is prepared to stimulate interest and debate among a panel of experts. Views from several angles will be addressed as discussion of pre-selected “hot” topics will be open for debate among the panelists. Corporate Therapeutic Symposia These company-based informational sessions will provide attendees with nonCME educational opportunities to learn the latest in therapeutics. Guided Poster Tours Guided Poster Tours will give small groups of delegates an opportunity to hear discussion on a select group of abstracts in several sub-categories. Teaching Courses These educational programs provide up-to-date information focused on a single topic. The sessions highlight both the clinical and basic science of topics of relevance to Movement Disorder specialists. The sessions are unique in providing a syllabus that includes a review of the topic and the presentation slides. In addition, these programs provide ample time for questions and a discussion period at the conclusion of the presentations. Therapeutic Plenary Sessions These sessions provide the latest information regarding the scientific and clinical evidence supporting treatment options for Parkinson’s disease and other movement disorders. Parallel Sessions Video Sessions These concurrent sessions provide an in-depth report of the latest research findings, state-of-the-art treatment options, as well as a discussion of future strategies. Parallel sessions will have evidence-based components and incorporate the “hot” issues in Parkinson’s disease and other movement disorders. Designed to provide a broad overview of related movement disorders, these sessions will focus on the phenomenology covering the many different kinds of movement disorders affecting the population today. Plenary Sessions These sessions provide a broad overview of the latest clinical and basic science research findings and state-of-the-art information. Poster Sessions Poster sessions give each delegate an opportunity to view their colleagues’ posters on the most current research in the field of Movement Disorders. Authors will be present for 1.5 hours each day to explain their work and answer questions. International Congress Theme: At each annual International Congress, the Congress Scientific Program Committee selects a theme that is highlighted throughout the meeting. This year’s theme, Pathophysiology of Basal Ganglia Disorders: From Cell to System to Patient, will be showcased in two Plenary Sessions, nine Parallel Sessions, one Skills Workshop, and one Teaching Course. International experts will serve as faculty, and the meeting participants can elect to attend any or all of these sessions. Themed sessions are designated in the program with . 9 Sunday, June 4, 2017 1101 Therapeutic Plenary Session 1102 Therapeutic Plenary Session, cont. 1104 Therapeutic Plenary Session Treating Motor Complications of Parkinson’s Disease 8:00 – 10:00 12:20 Surgical Treatment (Including Deep Brain Stimulation) Joachim Krauss Hannover, Germany Update on Neurosurgical Interventions for Movement Disorders 17:00 – 19:00 Chairs: 8:00 8:40 9:20 Steven Frucht New York, NY, USA Oscar Gershanik Buenos Aires, Argentina Disease Related Motor Complications: Gait, Posture, Balance Bettina Debu Grenoble, France Understanding Motor Fluctuations and Dyskinesias: Clinical Aspects, Pathophysiology, Risk Factors Han-Joon Kim Seoul, Korea Prevention, Treatment and Management of Motor Fluctuations and Dyskinesias Jean-Christophe Corvol Paris, France Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify and manage disease related motor complications 2. Recognize medication induced motor complications and understand their pathophysiology and risk factors 3. Apply preventive measures, and both conventional and novel therapeutic interventions, to manage levodopainduced motor complications 1102 Therapeutic Plenary Session Treatment of Dystonia 11:00 – 13:00 Chairs: Marina De Koning-Tijssen Groningen, Netherlands Hyder Jinnah Atlanta, GA, USA Assessment and Classification as the First Step in Expert Management Alberto Albanese Rozzano, Italy Medical Treatment (Including Botulinum Toxins) Mandar Jog London, ON, Canada 11:00 11:40 10 Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize diagnostic challenges for different types of dystonia and implement the current classification system for the dystonias 2. Recognize the issues involved in selecting the best options for treating patients with dystonia syndromes 3. Describe treatment principles for dystonia syndromes, including medical and surgical options 1103 Therapeutic Plenary Session Update on the Treatment of Hyperkinetic Movement Disorders 14:30 – 16:30 Chairs: 14:30 15:10 15:50 Jonathan Mink Rochester, NY, USA Raymond Rosales Manila, Philippines Chorea in the Clinic: Which One and Which Treatment? Pichet Termsarasab Cleveland Heights, OH, USA Tic Disorders: Diagnosis and Treatment Jonathan Mink Rochester, NY, USA Myoclonus: Etiology, Pathophysiology and Treatment Insights Yoshikazu Ugawa Fukushima, Japan Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize the different causes and treatment of chorea 2. Describe the different causes and treatment of tic disorders 3. Identify the different causes and treatment of myoclonus Chairs: 17:00 17:40 18:20 Kelly Foote Gainesville, FL, USA Elena Moro Grenoble, France MRI-Guided Focal Ultrasound Lesions: Present and Future Binit Shah Charlottesville, VA, USA Updates on Gamma-Knife Treatment Jean Regis Marseille, France Emerging Interventions in Deep Brain Stimulation Peter Brown Oxfordshire, United Kingdom Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe non-invasive lesion therapies for movement disorders 2. Recognize indications for the available ablative and neuromodulatory neurosurgical techniques in movement disorders 3. Discuss recent technological advances in DBS for movement disorders such as directional stimulation and adaptive stimulation 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Monday, June 5, 2017 2101 Plenary Session 2102 Presidential Lectures 8:00 – 10:00 Chairs: Oscar Gershanik Buenos Aires, Argentina Christopher Goetz Chicago, IL, USA Stanley Fahn Lecture Ali Rajput Saskatoon, SK, Canada Junior Award Lectures To be announced C. David Marsden Lecture Glenda Halliday Randwick, NSW, Australia Learning Objectives: 1. Describe functional alterations in brain circuitry and in disorders of the basal ganglia, and their modulation by pharmacologic and surgical treatment 2. Recognize changes in network expression and brain neurochemistry that may delay the onset and mitigate the expression of symptoms in subjects with basal ganglia disorders and how these mechanisms may also ultimately contribute to unwanted outcomes 3. Recognize the role of dopamine in learning, attribution of salience and decision making, and how both disease and its treatment can result in impaired learning, apathy and impulsivity 8:00 8:30 9:30 Plenary Session , cont. 2203 Parallel Session Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Imaging in Model Systems of Basal Ganglia Function 15:30 – 17:30 2102 Chairs: Plenary Session Pathophysiological Underpinnings of Clinical Manifestations 10:30 – 12:30 Chairs: 10:30 11:10 11:50 David Eidelberg Masshasset, NY, USA A. Jon Stoessl Vancouver, BC, Canada Pathophysiology of Motor Dysfunction John Rothwell London, United Kingdom Compensatory Mechanisms Lessons from Imaging Studies David Eidelberg Masshasset, NY, USA Pathophysiology of Cognitive and Behavioral Changes in Basal Ganglia Disorders Anthony Phillips Vancouver, BC, Canada Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees 15:30 16:10 16:50 TIC KE T Bernd Pichler Tübingen, Germany Vesna Sossi Vancouver, BC, Canada Optogenetics: Enhancing our Understanding of Basal Ganglia Function Nicole Calakos Durham, NC, USA Astrocytes and Microglia Studied in Vivo: Imaging Disease Mechanisms Brian MacVicar Vancouver, BC, Canada Concurrent Multimodal Imaging Bernd Pichler Tübingen, Germany Recommended Audience: Basic Scientists, Clinical Academicians, Students/Residents/Trainees Learning Objectives: 1. Recognize the contributions of optogenetics to the study of basal ganglia circuitry 2. Describe how modern optical techniques can be used to study the dynamic nature and function of glial and microglial cells in order to better understand their role in disease 3. Recognize emerging advances in hybrid PET-MR and PET-MR-EEG imaging 2204 Parallel Session Repeat Expansion Disorders: From Cell to System to Patient 15:30 – 17:30 Chairs: 15:30 16:10 16:50 TIC KE T Alexis Brice Paris, France Luis Velázquez-Pérez Holguín, Cuba Repeat Expansion Disorders – Movement Disorders and More Alexis Brice Paris, France Spinocerebellar Ataxias (SCAs) Luis Velázquez-Pérez Holguín, Cuba Fragile X Tremor-Ataxia Deborah Hall Chicago, IL, USA Recommended Audience: Basic Scientists, Clinical Academicians, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Provide a perspective of the importance of triplet expansion disorders and discuss the broad phenotype, including combined neuromuscular and movement disorders 2. Describe the various subtypes of ataxia and mechanisms of pathogenesis associated with triplet repeat expansions 3. Describe the pleomorphic phenotypes and mechanisms of pathogenesis associated with abnormal expansions of the FMR1 gene 2205 Parallel Session Pediatric Movement Disorders 15:30 – 17:30 Chairs: 15:30 16:10 TIC KE T Jonathan Mink Rochester, NY, USA Harvey Singer Baltimore, MD, USA Repetitive Movement Disorders in Children Harvey Singer Baltimore, MD, USA Metabolic Movement Disorders in Children Darius Ebrahimi-Fakhari Boston, MA, USA 11 Monday, June 5, 2017 2205 Parallel Session 16:50 Crossing Barriers: A Multidisciplinary Team Approach to Young-Onset Movement Disorders Martje van Egmond Haren, Netherlands TIC KE T Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify the clinical characteristics and underlying neurobiology of repetitive movements in children 2. Diagnose metabolic diseases in children 3. Describe the problem of transition from pediatric into adult neurology 2206 Parallel Session Movement Disorders in Paraneoplastic and Autoimmune Disease 15:30 – 17:30 Chairs: 15:30 16:10 16:50 2207 Parallel Session Monogenic Movement Disorders in the Next Generation Sequencing Era 15:30 – 17:30 , cont. Chairs: 15:30 16:10 TIC KE T Sarosh Irani Oxford, United Kingdom Philip Thompson Adelaide, SA, Australia Autoimmune Encephalopathies Sarosh Irani Oxford, United Kingdom Sydenham’s Chorea Hilla Ben-Pazi Jerusalem, Israel Paraneoplastic Movement Disorders Sean Pittock Rochester, MN, USA Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize the mechanisms and treatment implications for unusual autoimmune encephalopathies affecting adults and children 2. Describe the role of immune modulation in the treatment of severely affected patients with Sydenham’s chorea 3. Understand recent advances in the diagnosis and management of cell mediated and humoral mediated paraneoplastic movement disorders 16:50 Thomas Bird Seattle, WA, USA Katja Lohmann Lübeck, Germany Finding Genes for Movement Disorders in the Next Generation Sequencing Era: Parkinsonism as Example Enza Maria Valente Rome, Italy Genes Causing Isolated Dystonia – New Mutations and Pathogenetic Pathways Katja Lohmann Lübeck, Germany Monogenic Hyperkinetic Disorders with Pleomorphic Phenotypes Thomas Bird Seattle, WA, USA 2208 Parallel Session 16:10 Update on the Most Recent Evidence for NonPharmacological Interventions Daniel Corcos Chicago, IL, USA Logistics of Integrated Care Geraldine Acuna-Sunshine Boston, MA, USA 16:50 Learning Objectives: 1. Discuss the new research strategies enabled by the NGS-technologies such as whole-exome and wholegenome sequencing, and the recently identified mutations associated with monogenic parkinsonism (including TMEM230, VPS13C, SYNJ1, and DNAJC6) 2. Discuss the recently identified genetic mutations causing isolated dystonia, and the implications for the understanding of the disease pathogenesis 3. Discuss the recently identified monogenic hyperkinetic disorders with pleomorphic phenotypes (including ADCY5, FOXG1, PDE10A, and ATP1A3) 2208 Parallel Session Integrated Management of Movement Disorders: Is It Needed in All Stages? 15:30 – 17:30 Chairs: TIC KE T Bastiaan Bloem Nijmegen, Netherlands Daniel Corcos Chicago, IL, USA The Case for Integrated Care Management of Parkinson’s Disease: An Evidence-Based Perspective Carsten Eggers Cologne, Germany TIC KE T ,cont. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify the value and efficacy of integrated care management for different stages of Parkinson’s disease 2. Appraise the scientific basis of non-pharmacological interventions of Parkinson’s disease 3. Optimize strategies and logistics to implement patientcentered care in movement disorder clinics 2309 Teaching Course Neuroimaging Techniques of Systems Neuroscience 15:30 – 17:30 Chairs: Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees 15:30 12 TIC KE T 15:30 16:10 16:50 TIC KE T Paola Piccini London, United Kingdom Irena Rektorova Brno, Czech Republic Principles of Tractography Federica Agosta Milan, Italy Imaging the Human Connectome Shunsuke Kobayashi Fukushima, Japan Principles of Molecular Imaging Paola Piccini London, United Kingdom Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify MRI approaches to study structural brain connectivity and interpret results in movement disorder clinics and research 2. Describe principles of functional connectivity analysis and understand how functional MRI can be used to study neural correlates of brain pathology, compensation and treatment effects 3. Describe methods of molecular imaging to assess dopamine release, dopamine transporter activity and other neurotransmitter changes in the human striatum and cortex in movement disorders 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Monday, June 5, 2017 2310 Teaching Course Practical Management of Common Non-Motor Symptoms in Parkinson’s Disease 15:30 – 17:30 Chairs: 15:30 16:10 16:50 2411 Skills Workshop Functional Capacity in Parkinson’s Disease: How Can Practice Help? 18:00 – 19:30 TIC KE T Paolo Barone Naples, Italy Pablo Martinez-Martin Madrid, Spain How to Evaluate and Treat Autonomic Dysfunction in Parkinson’s Disease Christopher Mathias London, United Kingdom How to Evaluate and Treat Sleep Dysfunction in Parkinson’s Disease Aleksandar Videnovic Boston, MA, USA How to Evaluate and Treat Cognitive and Psychiatric Disturbances in Parkinson’s Disease Jennifer Goldman Chicago, IL, USA Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe the prevalence, pathophysiology, diagnosis, and management of constipation, urinary dysfunction, sexual dysfunction and orthostatic hypotension in Parkinson’s disease 2. Indicate the pathophysiology of sleep disorders in Parkinson’s disease as well as the evaluation and treatment of insomnia, somnolence, sleep apnea, and REM sleep behavior disorder in Parkinson’s disease 3. Recognize the key features for the recognition, diagnosis and treatment of depression, anxiety, hallucinations and psychotic disorders in Parkinson’s disease TIC KE T Elke Heremans Heverlee, Belgium Ingrid Sturkenboom Nijmegen, Netherlands This interactive session will tackle what matters most to patients with Parkinson’s disease: the disease impact on daily function. This session will clarify how physiotherapy and occupational therapy can contribute to improving function and which training methods translate best into functional gains as supported by scientific evidence. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe the core components of functional disability in Parkinson’s disease 2. Identify which training approaches lead to direct benefits of activities of daily living 3. Distinguish between the specific roles of physical and occupational therapy to improve function 2412 Skills Workshop Which Targeting Technique for Botulinum Toxin Injections? 18:00 – 19:30 TIC KE T Joseph Tsui Vancouver, BC, Canada Uwe Walter Rostock, Germany This interactive session is intended to provide the participant with a practical way to analyze simple and complex cases of dystonia and spasticity, and to select the best tools for muscle targeting during botulinum toxin treatment. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Discuss the pros and cons of EMG vs. anatomical landmarks to inject BoNT 2. Identify key muscles in the neck and limbs by sonoacoustic properties 3. Recognize the benefits and limitations of different targeting techniques to guide BoNT muscle injections 2413 Skills Workshop Post-Surgical Management of Deep Brain Stimulation Therapies 18:00 – 19:30 TIC KE T Genko Oyama Tokyo, Japan Maria Rodriguez-Oroz Pamplona, Spain In this interactive session, the faculty will present tricks and skills for optimizing deep brain stimulation with respect to motor and non-motor effects. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Apply strategies to optimize motor effects in Parkinson’s disease 2. Employ programming tricks to avoid non-motor side effects of deep brain stimulation in Parkinson’s disease 3. Identify methods in adjusting Parkinson’s disease medication post-operatively with respect to motor and non-motor symptoms 2414 Skills Workshop Lessons from My Patients 18:00 – 19:30 TIC KE T Susan Bressman New York, NY, USA Barry Snow Auckland, New Zealand In this interactive session, the faculty will present cases from their own practice and discuss the lessons learned when follow-up and critical reappraisal of clinical features has led to a revision of diagnosis and change in management. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize the value of critical review of cases where diagnosis and management have been revised 2. Identify common pitfalls in the evaluation of movement disorders 3. Recognize the merits of reassessing clinical features and management 13 Monday, June 5, 2017 2415 Skills Workshop The Challenge of Molecular Genetics for the Clinician 18:00 – 19:30 TIC KE T Alexandra Durr Paris, France Marialuisa Quadri Rotterdam, Netherlands In this interactive session, the faculty will present opportunities and challenges of genetic testing in the “next-generation sequencing” era. The different types of testing will be discussed (e.g. mutations, genes, gene panels, gene filters, whole-exome and whole-genome sequencing), as well as the challenges in the interpretation of the results, and the ethical implications. Recommended Audience: Basic Scientists, Clinical Academicians, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Discuss the “when”, “what”, and “how” of genetic testing (including mutations, genes, gene panels, gene filters, WES, WGS) 2. Discuss the challenges in the interpretation of the results of genetic testing (including pathogenicity of novel variants, variants of unknown significance) 3. Debate the ethical and emerging issues in genetic testing (including informed consent, ethical issues, secondary findings from WES or WGS; storage and reanalysis of NGS data) 2516 Video Session Movement Disorders in Autoimmune Diseases 18:00 – 19:30 TIC KE T Bettina Balint London, United Kingdom Andrew McKeon Rochester, MN, USA In this interactive session, the faculty will demonstrate how to identify and investigate autoimmune movement disorders, and what treatments are available. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/ Residents/Trainees Learning Objectives: 1. Identify movement disorders associated with autoimmune diseases 2. Identify the range of antibodies associated with movement disorders phenotypes 3. Determine appropriate investigations and therapies for movement disorders of autoimmune origin 14 2517 Video Session Update on Paroxysmal Movement Disorders 18:00 – 19:30 TIC KE T Roberto Erro Verona, Italy Jennifer Friedman San Diego, CA, USA In this interactive session, the faculty will explain how to recognize and clinically approach patients with paroxysmal movement disorders. Diagnostic strategies, including genetics, will be discussed, not only for classical forms, but also for the new variants of paroxysmal movement disorders. Recommended Audience: Clinical Academicians, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Characterize paroxysmal disorders, both classical forms and new variants 2. Identify the diagnostic clues and treatment options in paroxysmal movement disorders 3. Identify the diagnostic strategies in paroxysmal movement disorders 2518 Video Session Acquired Choreas: What is New? 18:00 – 19:30 TIC KE T Kalyan Bhattacharyya Kolkata, India Kathleen Shannon Madison, WI, USA This video session will review and illustrate one of the most challenging aspects of movement disorders, i.e. choreas; its origins, its manyfaceted clinical presentations, the complexity of differential diagnosis, and management strategies. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe the different aspects of the etiology of acquired choreas 2. Recognize the phenomenology of acquired choreas as well as differential diagnosis with other movement disorders 3. Define the latest in management of acquired choreas 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Tuesday, June 6, 2017 3101 Plenary Session 3102 Plenary Session, cont. 3204 Parallel Session Disease Mechanisms of Parkinson’s Disease: From Cell to System 8:00 – 10:00 12:00 Emerging Therapies in Huntington’s Disease: Promises and Challenges Blair Leavitt Vancouver, BC, Canada Imaging Genetics and Pathophysiology in Humans 15:30 – 17:30 Chairs: 8:00 8:40 9:20 Marie-Francoise Chesselet Los Angeles, CA, USA Andrew West Birmingham, AL, USA Lysosomal Dysfunction and the Relevance of GBA Mutations to Parkinson’s Disease Anthony Schapira London, United Kingdom Axonal Transport and Membrane Sorting Matthew Seaman Cambridge, United Kingdom Neuroinflammation Andrew West Birmingham, AL, USA Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe the cell biological mechanism related to Parkinson’s disease genetic and sporadic forms 2. Recognize how these cell biological changes influence cells in several organ systems 3. Recognize how cell disease mechanisms in Parkinson’s disease can provide diverse and wide-spread changes and opportunities for biomarkers 3102 Plenary Session Huntington’s Disease: Molecular and Therapeutic Advances 11:00 – 12:30 Chairs: 11:00 11:30 Christopher Goetz Chicago, IL, USA Werner Poewe Innsbruck, Austria The Huntington’s Disease Gene and Its Modifiers Jong-Min Lee Boston, MA, USA Molecular Imaging in Huntington’s Disease - Recent Advances Andrea Varrone Stockholm, Sweden Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize recent developments in genetics of Huntington’s disease including the impact of gene modifiers identified in GWAS 2. Identify a comprehensive view of molecular imaging biomarkers to study Huntington’s disease including recent advances in the development of a Huntington’s PET Tracer 3. Describe the emergent therapies in Huntington’s disease and to recognize their potential strengths and limitations 3203 Parallel Session Promises of Induced Pluripotent Stem Cells: From Modeling to Therapy 15:30 – 17:30 Chairs: 15:30 16:10 16:50 Chairs: 15:30 16:10 16:50 TIC KE T Steven Finkbeiner San Francisco, CA, USA Miquel Vila Barcelona, Spain iPSC-Derived Neuronal Models for Basal Ganglia Diseases Steven Finkbeiner San Francisco, CA, USA From Neurons to Brain Organoids Nobutaka Hattori Tokyo, Japan Application of iPSC-Derived Models and Novel Therapeutic Approaches Brent Ryan Oxford, United Kingdon Doris Doudet Vancouver, BC, Canada Wayne Martin Edmonton, AB, Canada Neurotransmitter Studies in Genetic Disease and Prodromal Populations Marios Politis London, United Kingdom Structural and Functional Connectivity Hartwig Siebner Hvidovre, Denmark Imaging Pathology Inflammation and Abnormal Protein Vesna Sossi Vancouver, BC, Canada Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe changes in monoamine and other neurotransmitters seen in prodromal stages of genetic Parkinson’s disease and REM behavior disorder 2. Recognize changes in structural connectivity associated with prodromal and established Parkinson’s disease and its complications 3. Assess the current status of tracers designed to assess disease pathology, including inflammation and abnormal protein accumulation 3205 Parallel Session Breaking News in Movement Disorders 15:30 – 17:30 Chairs: Recommended Audience: Basic Scientists, Clinical Academicians, Students/Residents/Trainees Learning Objectives: 1. Describe how iPSC-derived neuronal cultures can serve as a model for basal ganglia diseases 2. Identify how brain organoids can be generated from iPSC-derived neurons 3. Evaluate how iPSC-derived models can be employed to develop new therapeutic approaches TIC KE T 15:30 16:10 TIC KE T Michael Schlossmacher Ottawa, ON, Canada Matthew Stern Philadelphia, PA, USA Imaging Pathology of Neurodegenerative Movement Disorders: Why is it Important and So Difficult? Per Borghammer Aarhus, Denmark New Genes, New Mechanisms: Why Do We Care? Niccolò Mencacci London, United Kingdom 15 Tuesday, June 6, 2017 3205 16:50 Parallel Session TIC KE T 3207 Parallel Session Function and Dysfunction of the Synapse 15:30 – 17:30 , cont. Biomarkers and Clinical Trials: Where are We? Michael Schlossmacher Ottawa, ON, Canada Chairs: Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe the progress and challenges of brain imaging in neurodegenerative disorders 2. Identify recent progress in linking genetic information to disease mechanisms and their implication for translation to clinically meaningful outcomes 3. Recognize current efforts in developing clinical, genetic and other biomarkers and critique their use in clinical trials 15:30 3206 Parallel Session 16:50 Management of Common Axial Problems in Advanced Parkinson’s Disease 15:30 – 17:30 Chairs: 15:30 16:10 16:50 TIC KE T Yael Manor Tel Aviv, Israel Alice Nieuwboer Heverlee, Belgium Effective Pharmacological and Surgical Treatment Strategies for Common Late Stage Axial Caroline Moreau Marcq en Baroeul, France Speech and Respiratory Therapy Options to Treat Hypophonic Dysarthria and Prevent Dysphagia Yael Manor Tel Aviv, Israel When Recurrent Falls and Postural Instability are Prevalent, is Rehabilitation Too Late? Colleen Canning Sydney, NSW, Australia Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify the underlying mechanisms of common axial problems in advanced Parkinson’s disease and the best prevailing medical treatment options 2. Recognize the efficacy of behavioral interventions to alleviate speech and swallowing problems 3. Summarize existing rehabilitation approaches for reducing postural instability and recurrent falls 16 16:10 Micaela Morelli Cagliari, Italy Jose Obeso Madrid, Spain Modulation of the Synapse in the Normal and Denervated Striatum Christian Pifl Wien, Austria Therapeutic Complications Arising from Synaptic Dysfunction Manolo Carta Cagliari, Italy Therapies Targeting Synaptic Plasticity Per Svenningsson Stockholm, Sweden Recommended Audience: Basic Scientists, Clinical Academicians, Students/Residents/Trainees Learning Objectives: 1. Identify the differences of apoptosis-inducing dopamine neuronal degeneration in humans and experimental animals 2. Assess pathogenic mechanisms of striatal transmission in Parkinson’s disease and in the long-term complications arising from dopaminergic therapy 3. Recognize how to manage complications related to aberrant synaptic plasticity 3208 Parallel Session Progressive Supranuclear Palsy: Towards Early Diagnosis and Causal Therapies 15:30 – 17:30 Chairs: 15:30 16:10 3208 Parallel Session 16:50 Current and Future Therapies for Progressive Supranuclear Palsy Adam Boxer San Francisco, CA, USA TIC KE T TIC KE T Adam Boxer San Francisco, CA, USA Günter Höglinger Munich, Germany The MDS-Criteria for Diagnosis of Progressive Supranuclear Palsy Christer Nilsson Lund, Sweden Imaging the Diagnosis and Progression of Progressive Supranuclear Palsy Jennifer Whitwell Rochester, MN, USA TIC KE T , cont. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Apply the MDS-criteria for the diagnosis of Progressive Supranuclear Palsy 2. Identify the most appropriate imaging modalities for the diagnosis and progression measurement of Progressive Supranuclear Palsy 3. Recognize state of the art therapies for Progressive Supranuclear Palsy and understand concepts of current therapeutic trials 3309 Teaching Course Clues in the Clinical Examination of Movement Disorders 15:30 – 17:30 Chairs: 15:30 16:10 16:50 TIC KE T Peter Bain Richmond, United Kingdom Francisco Cardoso Belo Horizonte, Brazil Tips in Tremor Peter Bain Richmond, United Kingdom Pointers in Parkinsonism Vincent Mok Shatin, People’s Republic of China Hints for Hyperkinetic Movement Disorders Emilia Gatto Buenos Aires, Argentina Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Perform examination techniques that help in the differential diagnosis of tremor 2. Utilize the examination of patients with parkinsonism to reveal signs that characterize different akinetic-rigid syndromes 3. Elicit and recognize examination features that characterize different hyperkinetic movement disorders 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Tuesday, June 6, 2017 3310 Teaching Course Classification, Pathogenesis, and Management of Dystonia 15:30 – 17:30 Chairs: 15:30 16:10 16:50 TIC KE T Petr Kanovsky Olomouc, Czech Republic Christine Klein Lübeck, Germany Applying the Dystonia Classification to Your Patient Petr Kanovsky Olomouc, Czech Republic Pathogenesis of Dystonia Aloysius Domingo Lübeck, Germany Current Treatments in Dystonia Takahiro Mezaki Takarazuka, Japan Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe the classification and diagnosis of dystonia 2. Discuss the disease mechanisms and genetics underlying dystonia 3. Recognize the available medical and surgical treatments for dystonia including expected outcomes 3411 Skills Workshop How to Interpret Systems Neuroscience Findings 18:00 – 19:30 TIC KE T Rudi Balling Luxembourg, Germany Alfons Schnitzler Düsseldorf, Germany This interactive session will help participants to better navigate the growing field of important and complex discoveries in systems neurosciences related to basal ganglia function and dysfunction. Participants will learn how to select, analyze and implement the most relevant neuroscience findings from an integrative perspective. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/ Residents/Trainees 3411 Skills Workshop TIC KE T , cont. Learning Objectives: 1. Identify the most relevant and useful information coming from neuroscience research 2. Distinguish the possible pitfalls in the interpretation of data and results coming from the neuroscience field, including neuroimaging and neurophysiology 3. Integrate the new information and knowledge in both clinical research and practice 3412 Skills Workshop Telemedicine and Technology in Parkinson’s Disease Management: The Why, What and How 18:00 – 19:30 3413 Skills Workshop Honing the MDS-UPDRS to Deal With Real-Life Challenges 18:00 – 19:30 Mayela Rodriguez Violante Mexico City, Mexico Glenn Stebbins Chicago, IL, USA This interactive session brings scale experts together with the participants to share practical approaches to utilizing the MDS-UPDRS in both clinical practice and research. TIC KE T Esther Cubo Delgado Burgos, Spain Meredith Spindler Philadelphia, PA, USA In this interactive session, experts interact with participants to share the breadth of telemedicine options for clinical care and the practical points to allow telemedicine implementation. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Apply arithmetic formulas to accommodate missing values in the MDS-UPDRS 2. Convert old UPDRS scores to MDS-UPDRS scores for continuity of longitudinal monitoring 3. Utilize the MDS-UPDRS in Parkinson’s disease patients with motor fluctuations 3414 Skills Workshop Colleague to Colleague: Recognizing and Managing Tardive Syndromes 18:00 – 19:30 Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. List available and in-development telemedicine options for health care access and management of movement disorders 2. Define the “minimal standard” of needed equipment to set up telemedicine services for patients with movement disorders 3. Apply practical knowledge on implementing and customizing telemedicine skills for movement disorders management TIC KE T TIC KE T Tove Henriksen Copenhagen, Denmark Daniel Tarsy Boston, MA, USA In this interactive session, clinical experts engage participants to outline the wide breadth of tardive syndromes, their temporal development in relation to causative drug exposure, and practical approaches to diagnosis and treatment. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize the wide phenotypic variability of tardive syndromes in adults and children 2. Describe the time-frame and natural history of different tardive syndromes 3. Utilize diagnostic tools and management options to treat tardive syndromes 17 Tuesday, June 6, 2017 3415 Skills Workshop Technology in Assessment of Parkinson’s Disease: How Does it Help? 18:00 – 19:30 TIC KE T Fay Horak Portland, OR, USA Walter Maetzler Kiel, Germany In this interactive session, the use of technology for actual clinical and patient-centered assessment will be discussed in all its facets. Although intuitively technology-based measurement is considered to be ‘objective’, this session will heighten the awareness of the pitfalls and challenges for obtaining reliable data that are useful for the multidisciplinary team and most importantly for the patient himself. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Appraise recent evidence on reliability of technology designed to assess gait and balance problems 2. Identify the benefits and pitfalls of smartphone apps for patients’ self-assessment of diverse clinical outcomes 3. Determine the potential of technology-based assessment for multidisciplinary patient management 3416 Skills Workshop Noninvasive Stimulation in Movement Disorders 18:00 – 19:30 TIC KE T Robert Chen Toronto, ON, Canada Angelo Quartarone Messina, Italy In this interactive session, faculty will provide a broad update about the current techniques of non-invasive brain stimulation used for research and clinic application, including mechanisms of action, limits and future perspectives. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe the different techniques of noninvasive brain stimulation 2. Describe the possible mechanisms of action of noninvasive brain stimulation 3. Identify the applications on noninvasive technique of brain stimulation in research and patient management 18 3517 Video Session Eye Movement Characteristics in Movement Disorders 18:00 – 19:30 TIC KE T Adolfo Bronstein London, United Kingdom Aasef Shaikh Cleveland, OH, USA In this interactive session, two experts will show the bedside examination of eye movements and how to recognize the oculomotor clues to common and not so common movement and ataxic disorders. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify the bedside oculomotor examination relevant to movement disorders 2. Identify typical eye movement abnormalities of fixation, saccades, pursuit, vergence and vestibular function 3. Recognize characteristic eye movement abnormalities across the common and uncommon hypokinetic, hyperkinetic and ataxic disorders 3518 Video Session Movement Disorders in Children 18:00 – 19:30 TIC KE T Yoshiko Nomura Tokyo, Japan Toni Pearson St. Louis, MO, USA In this interactive session, faculty will show the clinical approach to recognition, investigation and treatment of movement disorders in children. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize the specificity of pediatric movement disorders and their evolution in adulthood 2. Recognize the spectrum of metabolic and genetic movement disorders in children 3. Organize a clinical approach to the diagnosis of movement disorders in children 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Wednesday, June 7, 2017 4101 Plenary Session 4102 Challenges in Clinicogenetic Correlations: One Gene - Many Phenotypes; One Phenotype - Many Genes 8:00 – 9:30 Learning Objectives: 1. Identify how experts use clinical history and signs to formulate their diagnosis in complex movement disorder cases 2. Identify how experts use paraclinical methods to diagnose complex movement disorders 3. Identify how experts formulate therapies for complex movement disorder patients Chairs: 8:00 8:30 9:00 Kailash Bhatia London, United Kingdom Victor Fung Sydney, NSW, Australia One Gene – Many Phenotypes Kailash Bhatia London, United Kingdom One Phenotype – Many Genes Vincenzo Bonifati Rotterdam, Netherlands Clinical Implications – Diagnosis and Treatment Hyder Jinnah Atlanta, GA, USA 4203 Parallel Session From Genes to Functional Pathways in Parkinsonism 15:00 – 17:00 Chairs: 15:00 Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize the sometimes different and complex phenotypes of monogenic mutations 2. Recognize similar clinical phenotypes resulting from different genetic mutations 3. Discuss the complexity of the evolving role of genetics in movement disorders 4102 Chairs: MDS Experts: Plenary Session Grand Rounds 10:00 – 12:00 In this interactive session, MDS experts will examine interesting common and complex patients. During this session, you will learn how they formulate diagnoses and manage these interesting and challenging patients. Silke Appel-Cresswell Vancouver, BC, Canada Martin McKeown Vancouver, BC, Canada Giovanni Fabbrini Rome, Italy Susan Fox Toronto, ON, Canada Carolyn Sue Sydney, NSW, Australia Marie Vidailhet Paris, France Plenary Session, cont. 15:40 16:20 4204 Parallel Session Are all Neurodegenerative Diseases Prion Disorders? 15:00 – 17:00 Chairs: 15:00 TIC KE T Vincenzo Bonifati Rotterdam, Netherlands Matthew LaVoie Boston, MA, USA Dominantly Inherited Parkinsonism: What are the Common Pathways? Andreas Puschmann Lund, Sweden Linking Monogenic Parkinsonism to the Immune System Matthew LaVoie Boston, MA, USA Retromer Dysfunction as a Common Pathway Underlying Parkinson’s Disease Matthew Farrer Vancouver, BC, Canada Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Discuss genetic features (mutations, penetrance, screening) of the dominant parkinsonisms, and their relevance for the etiologic landscape of Parkinson’s disease 2. Discuss recent findings linking the immune system and the pathogenesis of monogenic parkinsonism 3. Discuss the evidence supporting a role for retromer dysfunctions in the pathogenesis of Parkinson’s disease 15:40 16:20 TIC KE T Glenda Halliday Randwick, NSW, Australia Mathias Jucker Tübingen, Germany Synucleinopathies Seung-Jae Lee Seoul, Korea Amyloidopathies Mathias Jucker Tübingen, Germany Tauopathies John Trojanowski Philadelphia, PA, USA Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize the evidence, knowledge gaps and potential therapeutic implications for prion-like cell-to-cell protein propagation in synucleinopathies 2. Recognize the evidence, knowledge gaps and potential therapeutic implications for prion-like cell-to-cell protein propagation in amyloidopathies 3. Recognize the evidence, knowledge gaps and potential therapeutic implications for prion-like cell-to-cell protein propagation in tauopathies 4205 Parallel Session Food, Gut and Parkinson’s Disease: You Are What You Ingest 15:00 – 17:00 Chairs: 15:00 15:40 TIC KE T Alberto Ascherio Boston, MA, USA Carlo Colosimo Terni, Italy The Gut Microbiome, Parkinson’s Disease and Motor, Non-Motor Clinical Subtypes Filip Scheperjans Hus, Finland Caffeine, Uric Acid and Smoking Alberto Ascherio Boston, MA, USA Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees 19 Wednesday, June 7, 2017 4205 Parallel Session 16:20 Does Vagotomy Have a Role in Parkinson’s Disease Pathogenesis or Treatment? Elisabeth Svensson Aarhus, Denmark TIC KE T , cont. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe the current role of the microbiome in the pathophysiology of Parkinson’s disease and clinical subtypes (motor and non-motor) of Parkinson’s disease 2. Recognize how caffeine, nicotine and uric acid may act as protective factors in the pathophysiology of Parkinson’s disease 3. Discuss the putative role of vagotomy in the preventive treatment of Parkinson’s disease 4206 Parallel Session James Parkinson’s 200 Years: The Non-Motor Parkinson’s New Visions 15:00 – 17:00 Chairs: 15:00 15:40 16:20 TIC KE T K. Ray Chaudhuri London, United Kingdom Pablo Martinez-Martin Madrid, Spain Novel Ways of Grading Parkinson’s Disease Using Motor and Non-Motor Assessments: An Essential Clinical Paradigm Pablo Martinez-Martin Madrid, Spain Motor and Non-Motor Endophenotypes of Parkinson’s Disease: Controversies and Clinical Description Connie Marras Toronto, ON, Canada Ethnicity and Its Impact on Parkinson’s Disease: A Global View With a Non-Motor Perspective Yoshio Tsuboi Fukuoka, Japan Recommended Audience: Basic Scientists, Clinical Academicians, Epidemiologists, General physicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees 4206 Parallel Session TIC KE T , cont. Learning Objectives: 1. Discuss new grading of Parkinson’s disease based on non-motor assessments and non-motor burden using validated tools 2. Discuss non-motor endophenotyping in Parkinson’s disease based on cluster, clinical and biomarker driven analysis and the possibility of subtype driven treatments 3. Discuss the expression of motor and non-motor symptoms variations across different ethnic groups in relation to Parkinson’s disease with a global perspective 4207 Parallel Session From Fish to Primates: Genetic and Mechanistic Animal Models for Parkinson’s Disease 15:00 – 17:00 Chairs: 15:00 15:40 16:20 TIC KE T Stéphane Palfi Creteil, France Ryosuke Takahashi Kyoto, Japan How do Fish Models Contribute to Understanding of Parkinson’s Disease? Ryosuke Takahashi Kyoto, Japan Modeling Non-Motor Symptoms of Parkinson’s Disease in Rodents Penelope Hallett Belmont, MA, USA Primate Models of Parkinson’s Disease: From MPTP to Synucleinopathy Erwan Bezard Bordeaux, France Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Students/Residents/Trainees Learning Objectives: 1. Understand the advantages of fish models over other vertebrates in modeling Parkinson’s disease 2. Understand the advantages of reproducing nonmotor symptoms including cognition and autonomic symptoms in Parkinson’s disease in rodents 3. Describe updates on genetic and alpha-synucleinopathy primate models of Parkinson’s disease 4208 Parallel Session Basal Ganglia: Crossroads of Behavior and Motility 15:00 17:00 Chairs: 15:00 15:40 16:20 Fumino Fujiyama Kyoto, Japan Mark Stacy Durham, NC, USA Basal Ganglia Circuits for Motor and Behavioral, Emotional Performances Fumino Fujiyama Kyoto, Japan Behavioral and Motor Symptoms in Parkinson’s Disease and Other Movement Disorders Kathy Dujardin Lille, France How to Treat Patients With Behavioral Disorders and Motor Symptoms Louis Tan Singapore Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Explain the mechanisms or circuits of basal ganglia responsible for motor function and behavioral performance 2. Describe the clinical features of behavioral disorders in relation to motor symptoms 3. Explain how to manage the behavioral and motor symptoms in basal ganglia disorders 4309 Teaching Course Uncommon Treatable Movement Disorders Not to Be Missed 15:00 – 17:00 Chairs: 15:00 15:40 20 TIC KE T TIC KE T Carlos Cosentino Lima, Peru Aurelie Meneret Paris, France Movement Disorder in Toxic and Infectious Diseases Carlos Cosentino Lima, Peru Autoimmune Movement Disorders Jessica Panzer Philadelphia, PA, USA 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Wednesday, June 7, 2017 4309 Teaching Course 16:20 Metabolic Diseases Presenting with Movement Disorders in Adults Aurelie Meneret Paris, France TIC KE T , cont. 4411 Skills Workshop Novel Insights Into Bladder and Sexual Dysfunction in Parkinson’s Disease 17:30 – 19:00 Gila Bronner Ramat-Gan, Israel Ryuji Sakakibara Sakura, Japan This interactive session will provide the latest update on our understanding of sexual and bladder dysfunction in Parkinson’s disease and discuss possible treatment and management approaches. It is aimed to facilitate an open discussion between the health professional and the patient in these areas of functioning and to appreciate the great impact of these problems on patients’ quality of life. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Improve recognition, diagnosis and treatment of toxic and infectious diseases causing movement disorders 2. Discuss the diagnosis and treatment of autoimmune movement disorders 3. Describe the diagnosis and treatment of metabolic diseases presenting with movement disorders in adulthood 4310 Teaching Course Diagnosis and Management of Atypical Parkinsonian Syndromes 15:00 – 17:00 Chairs: 15:00 15:40 16:20 TIC KE T Andrew Lees London, United Kingdom Eduardo Tolosa Barcelona, Spain Progressive Supranuclear Palsy (PSP) and Corticobasal Degeneration (CBD) Andrew Lees London, United Kingdom Multiple System Atrophy (MSA) Johannes Levin Munich, Germany Dementia with Lewy Bodies (DLB) Bradley Boeve Rochester, MN, USA Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe clinical features, diagnostic criteria, clinical investigations, and treatments of Progressive Supranuclear Palsy and Corticobasal Degeneration 2. Discuss clinical features, diagnostic criteria, clinical testing, and treatments of Multiple System Atrophy 3. Recognize clinical features, diagnostic criteria, clinical investigations, and treatments of Dementia with Lewy Bodies Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify the neurophysiological basis of bladder and sexual dysfunction in Parkinson’s Disease 2. Determine evidence-based and state-of-the-art management strategies of bladder and sexual dysfunction 3. Recognize the impact of bladder and sexual dysfunction on quality of life for patient and partner 4412 Skills Workshop From Phenotype to Genotype and Back: The MDSGene Database 17:30 – 19:00 4413 Skills Workshop How to Become a Successful Movement Disorder Specialist 17:30 – 19:00 TIC KE T Stanley Fahn New York, NY, USA Claudia Trenkwalder Kassel, Germany This skills workshop will provide the participant the opportunity to meet and discuss how to successfully approach becoming a movement disorders specialist. The goals will include an interactive review of steps to take to pursue a career in movement disorders as well as how to become an effective leader. Recommended Audience: Clinical Academicians, Students/Residents/Trainees Learning Objectives: 1. Develop a clear view of the steps needed to pursue specialization in movement disorders 2. Recognize the importance of searching for good mentors when pursuing specialization 3. Identify essential aspects of becoming an effective leader 4414 Skills Workshop New Molecular Techniques That are Changing the Clinical Landscape 17:30 – 19:00 TIC KE T Valerija Dobricic Belgrade, Serbia Christine Lill Lübeck, Germany This interactive session is intended to provide the participant with an understanding of phenotype-genotype relations in hereditary movement disorders and provide practical and interactive training on the MDSGene database. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify the limitations of current databases 2. Use the MDSGene 3. Recognize phenotype-genotype correlations and data gaps TIC KE T TIC KE T Richard Myers Boston, MA, USA Richard Wade-Martins Oxford, United Kingdom This interactive session is intended to provide the participant with a basic understanding of emerging state-of the-art molecular tools that will play a crucial role in the upcoming years to biomarker discovery, identification of physiopathological pathways and development of novel therapeutic strategies in the field of Movement Disorders. Recommended Audience: Basic Scientists, Clinical Academicians, Students/Residents/Trainees Learning Objectives: 1. Identify emerging experimental methodologies, including next-generation sequencing, novel geneediting techniques and iPS cell development 2. Identify potential applications of these techniques to the field of Movement Disorders 3. Interpret the results obtained by the use of these techniques in the context of movement disorders 21 Wednesday, June 7, 2017 4515 Video Session Psychogenic Movement Disorders 17:30 – 19:00 TIC KE T Hubert Fernandez Cleveland, OH, USA Jon Stone Edinburgh, United Kingdom This interactive session is designed to facilitate a clinician’s approach in answering those questions, considering the “mimics,” the psychological disturbances as they impact on the physical manifestations (i.e. movement disorders), and the challenge to sort out and manage accordingly. Recommended Audience: Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize, in a systematic way, the clinical profiles of hyperkinetic psychogenic movement disorders 2. Describe, in a methodological way, the clinical characteristics of psychogenic parkinsonism and other hypokinetic psychogenic movement disorders 3. Identify the common social, psychological, medical, and legal circumstances associated with the appearance of psychogenic movement disorders 4516 Video Session Minerals in the Brain 17:30 – 19:00 TIC KE T Petr Dušek Prague, Czech Republic Susan Hayflick Portland, OR, USA In this interactive session, experts will demonstrate clinical symptoms and characteristic CT/ MRI changes of the most common diseases associated with mineral depositions in the brain, and they will describe treatment approaches. Recommended Audience: Basic Scientists, Clinical Academicians, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize clinical symptoms of patients with brain mineral (iron, calcium and manganese) deposition 2. Plan investigations and identify specific changes on brain CT/MRI for diagnostic purposes and for tracking disease progression and treatment effects 3. Describe the current status of management of the most common diseases associated with accumulation of minerals in the brain 22 4517 Video Session Movement Disorder Emergencies 17:30 – 19:00 TIC KE T Roberto Ceravolo Pisa, Italy Sun Ju Chung Seoul, Korea In this interactive session, experts will describe how to recognize common and unusual movement disorder emergencies, and how to effectively treat them. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify and manage Parkinson’s disease-related emergencies 2. Recognize common and uncommon hyperkinetic disorders, which may present at the emergency room 3. Manage emergencies related to Deep Brain Stimuation 4518 Video Session Recently Described Rare Disorders 17:30 – 19:00 TIC KE T Victor Fung Sydney, NSW, Australia Dan Healy Dublin, Ireland In recent years, many entirely new movement disorders have been described. Further, novel manifestations of previously described disorders have been discovered. This interactive session is intended to provide a survey of some of the most recently described disorders, some of which are treatable. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize newly described hyperkinetic disorders 2. Recognize newly described hypokinetic disorders 3. Describe the diagnostic and therapeutic strategies for newly described disorders 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Thursday, June 8, 2017 5101 Plenary Session 5102 Plenary Session, cont. Parallel Session 10:45 ICD and Parkinson’s Disease: Drug or Disease? (Disease) Thomas Münte Lübeck, Germany Development of Targeted Therapies for Parkinson’s Disease 8:00 – 9:30 5204 Hereditary Spastic Paraplegias: An Expanding and Challenging Field 15:00 – 17:00 Chairs: 8:00 8:30 9:00 Dimitri Krainc Charlestown, MA, USA Werner Poewe Innsbruck, Austria Novel Targeted Therapies for Parkinson’s Disease Werner Poewe Innsbruck, Austria Development of Small Molecule Activators for GBA1 Dimitri Krainc Charlestown, MA, USA Translating LRRK2 Biology into Novel Therapies Mark Cookson Bethesda, MD, USA Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Assess novel targeted therapeutic approaches for Parkinson’s disease 2. Recognize the potential of small molecules for the treatment of Parkinson’s disease 3. Clarify how Parkinson’s disease biology informs new treatment development 5102 Plenary Session Controversies in Movement Disorders 10:00 – 11:00 Chairs: 10:00 10:15 10:30 Charles Adler Scottsdale, AZ, USA Tim Anderson Christchurch, New Zealand Immunization Therapies for Proteinopathies: More Hype Than Hope? (Hope) Jeffrey Kordower Chicago, IL, USA Immunization Therapies for Proteinopathies: More Hype Than Hope? (Hype) Simone Engelender Haifa, Israel ICD and Parkinson’s Disease: Drug or Disease? (Drug) Celeste Napier Chicago, IL, USA Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: Topic 1: 1. Recognize the immunization therapies proposed for proteinopathies 2. Identify the mechanisms for immunization therapies in proteinopathies 3. Determine whether immunization therapy for proteinopathies is expected to be effective as a diseasemodifying treatment Topic 2: 1. Recognize the spectrum of ICDs that occur in Parkinson’s disease 2. Identify the frequency of ICDs in Parkinson’s disease before and after treatment 3. Discuss whether ICDs in Parkinson’s disease are more likely due to the disease or the treatment 5103 Plenary Session Blue Ribbon Highlights 11:00 – 12:00 Chairs: David John Burn Newcastle upon Tyne, United Kingdom Susan Fox Toronto, ON, Canada This session will provide a critical review of the best poster presentations by a panel of experts, highlighting the relevance, novelty, and quality of both clinical and basic research presented by delegates. Paolo Calabresi Perugia, Italy Oksana Suchowersky Edmonton, AB, Canada Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Review recent developments in the basic science field of Movement Disorders 2. Discuss an overview of recent clinical developments 3. Define an overall perspective on current topics of interest in Movement Disorders Chairs: 15:00 15:40 16:20 TIC KE T Giovanni Stevanin Paris, France Carolyn Sue Sydney, NSW, Australia Autosomal Dominant Forms Toshitaka Kawarai Tokushima, Japan Autosomal Recessive and X-Linked Forms Giovanni Stevanin Paris, France Pathogenic Pathways and Therapeutic Insights John Fink Ann Arbor, MI, USA Recommended Audience: Basic Scientists, Clinical Academicians, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Describe genotypes and phenotypes of dominant forms of hereditary spastic paraplegias 2. Describe genotypes and phenotypes of recessive and X-linked forms of hereditary spastic paraplegias 3. Discuss emerging pathogenetic pathways and implications for the development of rational therapies 5205 Parallel Session Novel Insights From Inherited Dyskinesias 15:00 – 17:00 Chairs: 15:00 15:40 16:20 TIC KE T Michael Okun Gainesville, FL, USA Zhi-Ying Wu Shanghai, People’s Republic of China Isolated Dystonias: From Gene to Network Brian Berman Aurora, CO, USA Paroxysmal Dyskinesias Zhi-Ying Wu Shanghai, People’s Republic of China Basal Ganglia-Related Dystonias: XDP, DRD, and Others Alexander Münchau Hamburg, Germany Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees 23 Thursday, June 8, 2017 5205 Parallel Session , cont. 5207 Parallel Session Learning Objectives: 1. Describe structural and functional imagine findings from patients with inherited and sporadic dystonias 2. Summarize the varied clinical phenotypes of the paroxysmal dyskinesias and their genes 3. Explain some of the biological mechanisms responsible for causing some types of dystonia 15:40 Progressive Supranuclear Palsy and Its Look-Alikes Gesine Respondek Munich, Germany Multiple System Atrophy and Its Look-Alikes Gregor Wenning Innsbruck, Austria TIC KE T 5206 Parallel Session Clinical Role of Neuropathology 15:00 – 17:00 Chairs: 15:00 15:40 16:20 TIC KE T Ian MacKenzie Vancouver, BC, Canada Eng-King Tan Singapore Neuropathology for the Clinicians: The Nuts and Bolts Ian MacKenzie Vancouver, BC, Canada Clinico-Pathological Correlations of Neurodegenerative Diseases Holly Shill Phoenix, AZ, USA Imaging-Pathological Correlations of Parkinson’s Disease Makoto Higuchi Chiba, Japan Recommended Audience: Basic Scientists, Clinical Academicians, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Discuss the nuts and bolts of neuropathology (neuroanatomy, sampling techniques, etc.) 2. Discuss and correlate neuropathology features with clinical symptoms in neurodegenerative diseases 3. Discuss correlation of neuroimaging findings with pathology of Parkinson’s disease 5207 Parallel Session ‘Atypical’ Atypical Parkinsonism 15:00 – 17:00 Chairs: 15:00 TIC KE T Jeffrey Kordower Chicago, IL, USA Gregor Wenning Innsbruck, Austria Corticobasal Degeneration and Its Look-Alikes Carmela Tartaglia Toronto, ON, Canada 16:20 TIC KE T , cont. Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify clinical, imaging and laboratory clues to the differential diagnosis of Corticobasal Degeneration 2. Identify clinical, imaging and laboratory clues to the differential diagnosis of Progressive Supranuclear Palsy 3. Identify clinical, imaging and laboratory clues to the differential diagnosis of Multiple System Atrophy 5208 Parallel Session Complementary and Alternative Medicine in Movement Disorders 15:00 – 17:00 Chairs: 15:00 15:40 16:20 TIC KE T Beomseok Jeon Seoul, Korea Aikaterini Kompoliti Chicago, IL, USA The Landscape of Options Aikaterini Kompoliti Chicago, IL, USA The Science of Placebo Effects and Complementary Medicine Fabrizio Benedetti Turin, Italy Incorporating Complementary Medicine into Movement Disorders Care Benzi Kluger Denver, CO, USA Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Recognize the breadth of complementary and alternative treatment options and their evidence base in managing movement disorders 2. Incorporate considerations of placebo influences in the treatment of movement disorders 3. Formulate strategies for integrating complementary and alternative treatments with an evidence base into the comprehensive management of movement disorder patients 5209 Parallel Session The Ataxias: The Spinocerebellar Ataxias, Recessive Ataxias and Secondary Ataxias 15:00 – 17:00 Chairs: 15:00 15:40 16:20 TIC KE T Joaquim Ferreira Lisbon, Portugal Stefan Pulst Los Angeles, CA, USA Classifications and Etiologies of Ataxias: A Clinical Approach Helio Teive Curitiba, Brazil Genetic Testing in Spinocerebellar Ataxias in Clinics: Challenges and Limitations Yih-Ru Wu Taipei, Taiwan Clinical and Experimental Therapies in Ataxias Stefan Pulst Los Angeles, CA, USA Recommended Audience: Basic Scientists, Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees Learning Objectives: 1. Identify the etiologies and classifications of ataxias 2. Recognize the challenges and limitations of genetic testing in ataxias 3. Identify the clinical and experimental therapies in ataxias 5310 Teaching Course Classification and Management of Tremor 15:00 – 17:00 Chairs: 15:00 15:40 16:20 TIC KE T Günther Deuschl Kiel, Germany Yoshikazu Ugawa Fukushima, Japan Evolving Classification of Tremor with Updates on New Tremor Entities Günther Deuschl Kiel, Germany Clinical Examination of Tremor Alexander Rajput Saskatoon, SK, Canada Current Treatment Options for Tremor Matej Skorvanek Kosice, Slovakia Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees 24 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Thursday, June 8, 2017 5310 Teaching Course TIC KE T , cont. Learning Objectives: 1. Recognize the current definition and classification of tremor and recognize new tremor entities, for example dystonic tremor and the ‘current’ concept of essential tremor 2. Identify different examination techniques in patients with tremor that will lead to a structured clinical approach 3. Discuss different therapeutic options for tremor including pharmacologic and surgical treatments 5311 Teaching Course Management of Advanced Parkinson’s Disease 15:00 – 17:00 Chairs: TIC KE T 5311 Teaching Course 15:00 Pharmacological Strategies for Managing Motor Complications Angelo Antonini Venice, Italy Surgery and Other Invasive Therapies for Managing Motor Complications Thomas Kimber Adelaide, SA, Australia Management of LevodopaUnresponsive Symptoms Nir Giladi Tel Aviv, Israel 15:40 16:20 TIC KE T , cont. Recommended Audience: Clinical Academicians, Non-Physician Health Professionals, Practitioners, Students/Residents/Trainees 5311 Teaching Course TIC KE T , cont. Learning Objectives: 1. Describe the different oral medications and pharmacologic strategies that can be used to manage dyskinesias and motor fluctuations in advanced Parkinson’s disease 2. Recognize which patients with advanced Parkinson’s disease need more invasive therapies, such as: Deep Brain Stimulation, continuous subcutaneous apomorphine and levodopa intestinal gel, including an assessment of the risks and benefits of each therapy for individual patients 3. Discuss the treatment options for disabling levodopaunresponsive symptoms in the advanced Parkinson’s disease patient, including dysautonomia, dysphagia, dysarthria, and falls Nir Giladi Tel Aviv, Israel Lars Timmermann Cologne, Germany Get Connected at the International Congress #MDSCongress2017 www.mdscongress2017.org 25 Faculty Listing Acuna-Sunshine, Geraldine Boston, MA, USA 2208 Bhatia, Kailash London, United Kingdom 4101 Cardoso, Francisco Belo Horizonte, Brazil 3309 Domingo, Aloysius Lübeck, Germany 3310 Adler, Charles Scottsdale, AZ, USA 5102 Bhattacharyya, Kalyan Kolkata, India 2518 Carta, Manolo Cagliari, Italy 3207 Doudet, Doris Vancouver, BC, Canada 3204 Agosta, Federica Milan, Italy 2309 Bird, Thomas Seattle, WA, USA 2207 Ceravolo, Roberto Pisa, Italy 4517 Dujardin, Kathy Lille, France 4208 Albanese, Alberto Rozzano, Italy 1102 Bloem, Bastiaan Nijmegen, Netherlands 2208 Chaudhuri, K. Ray London, United Kingdom 4206 Durr, Alexandra Paris, France 2415 Anderson, Tim Christchurch, New Zealand 5102 Boeve, Bradley Rochester, MN, USA 4310 Chen, Robert Toronto, ON, Canada 3416 Dušek, Petr Prague, Czech Republic 4516 Antonini, Angelo Padova, Italy 5311 Bonifati, Vincenzo Rotterdam, Netherlands 4101, 4203 Chesselet, Marie-Francoise Los Angeles, CA, USA 3101 Ebrahimi-Fakhari, Darius Boston, MA, USA 2205 Appel-Cresswell, Silke Vancouver, BC, Canada 4102 Borghammer, Per Aarhus, Denmark 3205 Chung, Sun Ju Seoul, Korea 4517 Eggers, Carsten Cologne, Germany 2208 Ascherio, Alberto Boston, MA, USA 4205 Boxer, Adam San Francisco, CA, USA 3208 Colosimo, Carlo Terni, Italy 4205 Eidelberg, David Manhasset, NY, USA 2102 Bain, Peter Richmond, United Kingdom 3309 Brice, Alexis Paris, France 2204 Cookson, Mark Bethesda, MD, USA 5101 Engelender, Simone Haifa, Israel 5102 Balint, Bettina London, United Kingdom 2516 Bronner, Gila Ramat-Gan, Israel 4411 Corcos, Daniel Chicago, IL, USA 2208 Erro, Roberto Verona, Italy 2517 Balling, Rudi Belvaux, Luxembourg 3411 Bronstein, Adolfo London, United Kingdom 3517 Corvol, Jean-Christophe Paris, France 1101 Fabbrini, Giovanni Rome, Italy 4102 Barone, Paolo Naples, Italy 2310 Brown, Peter Oxfordshire, United Kingdom 1104 Cosentino, Carlos Lima, Peru 4309 Fahn, Stanley New York, NY, USA 4413 Benedetti, Fabrizio Turin, Italy 5208 Burn, David John Newcastle upon Tyne, United Kingdom 5103 Cubo Delgado, Esther Burgos, Spain 3412 Farrer, Matthew Vancouver, BC, Canada 4203 Ben-Pazi, Hilla Jerusalem, Israel 2206 Calabresi, Paolo Perugia, Italy 5103 De Koning-Tijssen, Marina Groningen, Netherlands 1102 Fernandez, Hubert Cleveland, OH, USA 4515 Berman, Brian Aurora, CO, USA 5205 Calakos, Nicole Durham, NC, USA 2203 Debu, Bettina Grenoble, France 1101 Ferreira, Joaquim Torres Vedras, Portugal 5209 Bezard, Erwan Bordeaux, France 4207 Canning, Colleen Sydney, NSW, Australia 3206 Deuschl, Günther Kiel, Germany 5310 Fink, John Ann Arbor, MI, USA 5204 26 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Faculty Listing Finkbeiner, Steven San Francisco, CA, USA 3203 Healy, Dan Dublin, Ireland 4518 Kobayashi, Shunsuke Fukushima, Japan 2309 Manor, Yael Tel Aviv, Israel 3206 Foote, Kelly Gainesville, FL, USA 1104 Henriksen, Tove Copenhagen, Denmark 3414 Kompoliti, Aikaterini Chicago, IL, USA 5208 Marras, Connie Toronto, ON, Canada 4206 Fox, Susan Toronto, ON, Canada 4102, 5103 Heremans, Elke Heverlee, Belgium 2411 Kordower, Jeffrey Chicago, IL, USA 5102, 5207 Martin, Wayne Edmonton, AB, Canada 3204 Friedman, Jennifer San Diego, CA, USA 2517 Higuchi, Makoto Chiba, Japan 5206 Krainc, Dimitri Chicago, IL, USA 5101 Martinez-Martin, Pablo Madrid, Spain 2310, 4206 Frucht, Steven New York, NY, USA 1101 Höglinger, Günter Munich, Germany 3208 Krauss, Joachim Hannover, Germany 1102 Mathias, Christopher London, United Kingdom 2310 Fujiyama, Fumino Kyoto, Japan 4208 Horak, Fay Portland, OR, USA 3415 LaVoie, Matthew Boston, MA, USA 4203 McKeon, Andrew Rochester, MN, USA 2516 Fung, Victor Sydney, NSW, Australia 4101, 4518 Irani, Sarosh Oxford, United Kingdom 2206 Leavitt, Blair Vancouver, BC, Canada 3102 McKeown, Martin Vancouver, BC, Canada 4102 Gatto, Emilia Buenos Aires, Argentina 3309 Jeon, Beomseok Seoul, Korea 5208 Lee, Jong-Min Boston, MA, USA 3102 Mencacci, Niccolo Chicago, IL, USA 3205 Giladi, Nir Tel Aviv, Israel 5311 Jinnah, Hyder Atlanta, GA, USA 1102, 4101 Lee, Seung-Jae Seoul, Korea 4204 Meneret, Aurelie Paris, France 4309 Goetz, Christopher Chicago, IL, USA 2101, 3102 Jog, Mandar London, ON, Canada 1102 Lees, Andrew London, United Kingdom 4310 Mezaki, Takahiro Takarazuka, Japan 3310 Goldman, Jennifer Chicago, IL, USA 2310 Jucker, Mathias Tübingen, Germany 4204 Levin, Johannes Munich, Germany 4310 Mink, Jonathan Rochester, NY, USA 1103, 2205 Hall, Deborah Chicago, IL, USA 2204 Kanovsky, Petr Olomouc, Czech Republic 3310 Lill, Christina Lübeck, Germany 4412 Mok, Vincent Shatin, People’s Republic of China 3309 Hallett, Penelope Belmont, MA, USA 4207 Kawarai, Toshitaka Tokushima, Japan 5204 Lohmann, Katja Lübeck, Germany 2207 Moreau, Caroline Marcq en Baroeul, France 3206 Halliday, Glenda Sydney, NSW, Australia 2101, 4204 Kim, Han-Joon Seoul, Korea 1101 Mackenzie, Ian Vancouver, BC, Canada 5206 Morelli, Micaela Cagliari, Italy 3207 Hattori, Nobutaka Tokyo, Japan 3203 Kimber, Thomas Adelaide, SA, Australia 5311 MacVicar, Brian Vancouver, BC, Canada 2203 Moro, Elena Grenoble, France 1104 Hayflick, Susan Portland, OR, USA 4516 Klein, Christine Lübeck, Germany 3310 Maetzler, Walter Kiel, Germany 3415 Münchau, Alexander Hamburg, Germany 5205 27 Faculty Listing Münte, Thomas Lübeck, Germany 5102 Pittock, Sean Rochester, MN, USA 2206 Sakakibara, Ryuji Sakura, Japan 4411 Stebbins, Glenn Chicago, IL, USA 3413 Myers, Richard Boston, MA, USA 4414 Poewe, Werner Innsbruck, Austria 3102, 5101 Schapira, Anthony London, United Kingdom 3101 Stern, Matthew Philadelphia, PA, USA 3205 Napier, Celeste Chicago, IL, USA 5102 Pulst, Stefan Salt Lake City, UT, USA 5209 Scheperjans, Filip Hus, Finland 4205 Stevanin, Giovanni Paris, France 5204 Nieuwboer, Alice Heverlee, Belgium 3206 Puschmann, Andreas Lund, Sweden 4203 Schlossmacher, Michael Ottawa, ON, Canada 3205 Stoessl, A. Jon Vancouver, BC, Canada 2102 Nilsson, Christer Lund, Sweden 3208 Quadri, Marialuisa Rotterdam, Netherlands 2415 Schnitzler, Alfons Düsseldorf, Germany 3411 Stone, Jon Edinburgh, United Kingdom 4515 Nomura, Yoshiko Tokyo, Japan 3518 Quartarone, Angelo Messina, Italy 3416 Seaman, Matthew Cambridge, United Kingdom 3101 Sturkenboom, Ingrid Nijmegen, Netherlands 2411 Obeso, Jose Madrid, Spain 3207 Rajput, Alexander Saskatoon, SK, Canada 5310 Shah, Binit Charlottesville, VA, USA 1104 Suchowersky, Oksana Edmonton, AB, Canada 5103 Okun, Michael Gainesville, FL, USA 5205 Rajput, Ali Saskatoon, SK, Canada 2101 Shaikh, Aasef Cleveland, OH, USA 3517 Sue, Carolyn Sydney, NSW, Australia 4102, 5204 Oyama, Genko Tokyo, Japan 2413 Regis, Jean Marseille, France 1104 Shannon, Kathleen Madison, WI, USA 2518 Svenningsson, Per Stockholm, Sweden 3207 Palfi, Stéphane Creteil, France 4207 Rektorova, Irena Brno, Czech Republic 2309 Shill, Holly Phoenix, AZ, USA 5206 Svensson, Elisabeth Aarhus, Denmark 4205 Panzer, Jessica Philadelphia, PA, USA 4309 Respondek, Gesine Munich, Germany 5207 Singer, Harvey Baltimore, MD, USA 2205 Takahashi, Ryosuke Kyoto, Japan 4207 Pearson, Toni St. Louis, MO, USA 3518 Rodriguez Violante, Mayela Mexico City, Mexico 3413 Skorvanek, Matej Kosice, Slovakia 5310 Tan, Eng-King Singapore 5206 Phillips, Anthony Vancouver, BC, Canada 2102 Rodriguez-Oroz, Maria San Sebastián, Spain 2413 Snow, Barry Auckland, New Zealand 2414 Tan, Louis Singapore 4208 Piccini, Paola London, United Kingdom 2309 Rosales, Raymond Manila, Philippines 1103 Sossi, Vesna Vancouver, BC, Canada 2203, 3204 Tarsy, Daniel Boston, MA, USA 3414 Pichler, Bernd Tübingen, Germany 2203 Rothwell, John London, United Kingdom 2102 Spindler, Meredith Philadelphia, PA, USA 3412 Tartaglia, Carmela Toronto, ON, Canada 5207 Pifl, Christian Wien, Austria 3207 Ryan, Brent Oxford, United Kingdom 3203 Stacy, Mark Durham, NC, USA 4208 Teive, Helio Curitiba, Brazil 5209 28 21st International Congress of Parkinson’s Disease and Movement Disorders June 4–8, 2017 • VANCOUVER • British Columbia, Canada • www.mdscongress2017.org Faculty Listing Termsarasab, Pichet Cleveland Heights, OH, USA 1103 Tsui, Joseph Vancouver, BC, Canada 2412 Vidailhet, Marie Paris, France 4102 West, Andrew Birmingham, AL, USA 3101 Timmermann, Lars Marburg, Germany 5311 Ugawa, Yoshikazu Fukushima, Japan 1103, 5310 Videnovic, Aleksandar Boston, MA, USA 2310 Whitwell, Jennifer Rochester, MN, USA 3208 Tolosa, Eduardo Barcelona, Spain 4310 Valente, Enza Rome, Italy 2207 Vila, Miquel Barcelona, Spain 3203 Wu, Yih-Ru Taipei, Taiwan 5209 Trenkwalder, Claudia Kassel, Germany 4413 van Egmond, Martje Haren, Netherlands 2205 Wade-Martins, Richard Oxford, United Kingdom 4414 Wu, Zhi-ying Hangzhou, People’s Republic of China 5205 Trojanowski, John Philadelphia, PA, USA 4204 Varrone, Andrea Stockholm, Sweden 3102 Walter, Uwe Rostock, Germany 2412 Tsuboi, Yoshio Fukuoka, Japan 4206 Velázquez-Pérez, Luis Holguín, Cuba 2204 Wenning, Gregor Innsbruck, Austria 5207 29 PARTNERSHIP AT EVERY STEP FOR PATIENTS LIKE ANDY THERAPY AWARENESS THERAPY ACCESS Together, we are changing the way DBS therapy is delivered and improving patient lives at every step. We support you and your patients along the care continuum with our solutions and services. PROFESSIONAL.MEDTRONIC.COM Products that appear on this web site may not all be approved in your country. Please contact your local affiliate for further information UC201707899 EN PREIMPLANT Andy living well with Medtronic deep brain stimulation for Parkinson’s disease. POSTIMPLANT Advancing DBS Therapy The Vercise Cartesia™ Directional Lead powered by the Vercise PC platform combine to form the first and only directional DBS system with current steering.* Designed for greater precision and fewer side effects for improved patient outcomes. *Multiple Independent Current Control: 16 independent current sources engineered for fine adjustment of stimulation position and shape. The Vercise™ PC Deep Brain Stimulation (DBS) System is indicated for use in unilateral or bilateral stimulation of the subthalamic nucleus (STN) or internal globus pallidus (GPi) for treatment of levodopa-responsive Parkinson’s disease which is not adequately controlled with medication and also for treatment of intractable primary and secondary dystonia, for persons 7 years of age and older. Thalamic stimulation using the Boston Scientific Vercise™ PC DBS System is indicated for the suppression of tremor not adequately controlled by medications in patients diagnosed with Essential Tremor or Parkinson’s disease. All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. Information for the use only in countries with applicable health authority product registrations. Product available in the European Economic Area (EEA) only. Please check availability of the product with your local sales representative or your local customer service. Not for distribution in France. NM-305614-AB_MAR 2016 © 2016 Boston Scientific Corporation or its affiliates. All rights reserved. www.acorda.com Acorda Therapeutics is committed to improving the lives of people with Parkinson’s. We are proud to be a platinum sponsor at the 21st International Congress of Parkinson’s Disease and Movement Disorders. Copyright © 2016 Acorda Therapeutics. All rights reserved. PD5411 12/16 DIGNITY SHOULD NEVER WEAR OFF. A STEP FORWARD A THIRD GENERATION COMT INHIBITOR 1,2 SUSTAINED AND SMOOTH COMT INHIBITION COMPARED TO ENTACAPONE 3,4 ONgentys® 50 mg ONCE-DAILY ENABLES TAILORING OF EXISTING L-DOPA REGIMENS TO MAXIMIZE ITS CLINICAL BENEFIT5 1 . Bonifacio MJ, Sutcliffe JS, Torrao L, Wright LC , Soares-da- Silva P. Brain and peripheral pharmacokinetics of levodopa in the cynomolgus monkey following administration of opicapone, a third generation nitrocatechol COMT inhibitor. Neuropharmacology 2014; 77: 334-41. 2. Nuno P, Kiss L and Soares-da-Silva P. Catechol-O-Methyl-Transferase Inhibitors: Present Problems and Relevance of the New Ones. RSC Drug Discovery Series, Royal Society of Chemistry. Book chapter 4. Vol. 34, 83-109, 2013. 3. Rocha J., Falcao A., Santos A., Pinto R., Lopes N., Nunes T., Wright L., Vaz da Silva M. & Soares da Silva P. Effect of opicapone and entacapone upon levodopa pharmacokinetics during three daily levodopa administrations. Eur J Clin Pharmacol 2014; 70:1059–1071. 4. Rocha J., Falcao A., Pinto R., Nunes T., Soares-da-Silva P. Effect of opicapone and entacapone on levodopa pharmacokinetics when administered with immediate release 100/25 mg levodopa/ carbidopa in healthy subjects. Abstract in Journal of the Neurological Sciences 333 (2013) e109–e151. Poster in XXI World Congress of Neurology - Vienna, Austria (WCN 2013). 5. Ferreira J., Lees A., Rocha J., Poewe W., Rascol O. & Soares da Silva P for the Bi-Park 1 investigators. Opicapone as an adjunct to levodopa in patients with Parkinson’s disease and end of dose motor fluctuations: a randomized, double-blind, controlled trial. The Lancet Neurology 2016; 15; 2:154 – 165. PRESCRIBING INFORMATION Ongentys® Opicapone Please refer to the SPC before prescribing. Presentation: Ongentys 50 mg hard capsules. Indication: Ongentys is indicated as adjunctive therapy to preparations of levodopa/ DOPA decarboxylase inhibitors (DDCI) in adult patients with Parkinson’s disease and end-of-dose motor fluctuations who cannot be stabilised on those combinations. Posology and method of administration: The recommended dose of opicapone is 50 mg. Ongentys should be taken once-daily at bedtime at least one hour before or after levodopa combinations. Dose adjustments of antiparkinsonian therapy: Opicapone enhances the effects of levodopa. Hence, it is often necessary to adjust levodopa dosage within the first days to first weeks after initiating the treatment with opicapone. Missed dose: If one dose is missed, the next dose should be taken as scheduled. The patient should not take an extra dose to make up for the missed dose. Elderly: No dose adjustment is needed for elderly patients. Caution must be exercised in patients ≥ 85 years of age as there is limited experience in this age group. Renal impairment: No dose adjustment is necessary in patients with renal impairment, as opicapone is not excreted by the kidney. Hepatic impairment: No dose adjustment is necessary in patients with mild hepatic impairment (Child Pugh Class A). There is limited clinical experience in patients with moderate hepatic impairment (Child-Pugh Class B). Caution must be exercised in these patients and dose adjustment may be necessary. There is no clinical experience in patients with severe hepatic impairment (Child Pugh Class C), therefore, Ongentys is not recommended in these patients. Paediatric population: There is no relevant use of Ongentys in the paediatric population with Parkinson’s disease and motor fluctuations. Method of administration: Oral use. The capsules should be swallowed whole with water. Contraindications: Hypersensitivity to the active substance or to any of the excipients. Phaeochromocytoma, paraganglioma, or other catecholamine secreting neoplasms.History of neuroleptic malignant syndrome and/or non-traumatic rhabdomyolysis. Concomitant use with monoamine oxidase (MAO-A and MAO-B) inhibitors (e.g. phenelzine, tranylcypromine and moclobemide) other than those for the treatment of Parkinson’s disease. Special warnings and precautions for use: Dose adjustments of antiparkinsonian therapy: Ongentys is to be administered as an adjunct to levodopa treatment. Hence, the precautions valid for levodopa treatment should also be taken into account for Ongentys. Opicapone enhances the effects of levodopa. To reduce levodopa-related dopaminergic adverse reactions (e.g. dyskinesia, hallucinations, nausea, vomiting and orthostatic hypotension), it is often necessary to adjust the daily dose of levodopa by extending the dosing intervals and/or reducing the amount of levodopa per dose within the first days to first weeks after initiating treatment with Ongentys, according to the clinical condition of the patient. If Ongentys is discontinued it is necessary to adjust the dosing of the other antiparkinsonian treatments, especially levodopa, to achieve a sufficient level of control of the symptoms. Psychiatric disorders: Patients and care-givers should be made aware that impulse control disorders including pathological gambling, increased libido, hypersexuality, compulsive spending or buying, binge eating and compulsive eating can occur in patients treated with dopamine agonists and/or other dopaminergic treatments. Patients should be monitored regularly for the development of impulse control disorders and review of treatment is recommended if such symptoms develop. Others: Increases in liver enzymes were reported in studies with nitrocatechol inhibitors of catechol-O-methyltransferase (COMT). For patients who experience progressive anorexia, asthenia and weight decrease within a relatively short period of time, a general medical evaluation including liver function should be considered. Intolerance to excipients: Ongentys contains lactose. Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take Ongentys. Interaction with other medicinal products and other forms of interaction: Monoamino oxidase (MAO) inhibitors: Combination of opicapone and MAO inhibitors could result in inhibition of the majority of the pathways responsible for the metabolism of catecholamines. Because of this, concomitant use of opicapone with MAO inhibitors (e.g. phenelzine, tranylcypromine and moclobemide) other than those for the treatment of Parkinson’s disease is contraindicated. Concomitant use of opicapone and MAO inhibitors for the treatment of Parkinson’s disease, e.g. rasagiline (up to 1 mg/day) and selegiline (up to 10 mg/day in oral formulation or 1.25 mg/day in buccal absorption formulation), is permissible. There is no experience with opicapone when used concomitantly with the MAO-B inhibitor safinamide. Therefore, their concomitant use should be considered with appropriate caution. Medicinal products metabolised by COMT: Opicapone may interfere with the metabolism of medicinal products containing a catechol group that are metabolised by COMT, e.g. rimiterole, isoprenaline, adrenaline, noradrenaline, dopamine, dopexamine or dobutamine, leading to potentiated effects of these medicinal products. Careful monitoring of patients being treated with these medicinal products is advised when opicapone is used. Tricyclic antidepressants and noradrenaline re-uptake inhibitors: There is limited experience with opicapone when used concomitantly with tricyclic antidepressants and noradrenaline re-uptake inhibitors (e.g. venlafaxine, maprotiline and desipramine). Thus, their concomitant use should be considered with appropriate caution. Repaglinide: Opicapone is a weak inhibitor of CYP2C8. A study in healthy subjects using a dose of 25 mg, and a less than optimal formulation, showed an average increase of 30 % in the rate, but not the extent, of exposure to repaglinide when co-administered (i.e. given at the same time) with opicapone most likely caused by an inhibition of CYP2C8. Thus, particular consideration should be given to medicinal products metabolised by CYP2C8 and their co-administration must be avoided. OATP1B1 substrates: Opicapone is a weak inhibitor of OATP1B1. There is no experience with opicapone when used concomitantly with OATP1B1 substrates. Thus, particular consideration should be given to medicinal products transported by OATP1B1 and their concomitant use should be considered with appropriate caution. Fertility, pregnancy and lactation: Pregnancy: There are no or limited amount of data from the use of opicapone in pregnant women. Animal studies are insufficient with respect to reproductive toxicity (see section 5.3). Ongentys is not recommended during pregnancy and in women of childbearing potential not using contraception. Breast-feeding: It is unknown whether opicapone or its metabolites are excreted in human milk. A risk to the newborns/infants cannot be excluded. Breast-feeding should be discontinued during treatment with Ongentys. Fertility: The effects of opicapone on fertility in humans have not been studied. Animal studies with opicapone do not indicate harmful effects with respect to fertility. Effects on ability to drive and use machines: Opicapone in association with levodopa may have major influence on the ability to drive and use machines. Opicapone may, together with levodopa, cause dizziness, symptomatic orthostatism and somnolence. Therefore, caution should be exercised when driving or using machines. Undesirable effects: Summary of the safety profile: The most common adverse reactions reported were nervous system disorders. Dyskinesia was the most frequently reported treatment-emergent adverse reaction (17.7%). List of adverse reactions: Very common (≥ 1/10): Dyskinesia. Common (≥ 1/100 to < 1/10): Abnormal dreams, Hallucination, Hallucination visual, Insomnia, Dizziness, Headache, Somnolence, Orthostatic Hypotension, Constipation, Dry mouth, Vomiting, Muscle spasms, Blood creatine phosphokinase increased; Uncommon (≥ 1/1,000 to < 1/100) Decreased appetite, Hypertriglyceridaemia, Anxiety, Depression, Hallucination auditory, Nightmare, Sleep disorder., Dysgeusia, Hyperkinesia, Syncope, Dry eye, Ear congestion, Palpitations, Hypertension, Hypotension, Dyspnoea, Abdominal distention, Abdominal pain, Abdominal pain upper, Dyspepsia, Muscle twitching, Musculoskeletal stiffness, Myalgia, Pain in extremity, Chromaturia, Nocturia, Weight decreased. Reporting of suspected adverse reactions: Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via local regulations. Overdose There is no known specific antidote. Symptomatic and supportive treatment should be administered as appropriate. Removal of opicapone by gastric lavage and/or inactivation by administering activated charcoal should be considered. PHARMACEUTICAL PARTICULARS. List of excipients: Capsule content: Lactose monohydrate; Sodium starch glycolate, Type A; Maize starch, pregelatinized; Magnesium stearate. Capsule shell: Gelatin; Indigo carmine aluminium lake (E132); Erythrosine (E127); Titanium dioxide (E171). Printing ink: Shellac, titanium dioxide (E171), propylene glycol, ammonia, simethicone. Special precautions for storage: This medicinal product does not require any special temperature storage conditions. Blisters: Store in the original blister in order to protect from moisture. Nature and contents of container: OPA/Al/PVC//Al blisters containing 10, 30 or 90 capsules. MARKETING AUTHORISATION HOLDER: Bial - Portela & Cª, S.A. À Av. da Siderurgia Nacional. 4745-457 S. Mamede do Coronado. Portugal. Tel:+351 22 986 61 00. Fax: +351 22 986 61 90. e-mail: [email protected]. MARKETING AUTHORISATION NUMBER(S): EU/1/15/1066/002-004. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION: Date of first authorisation: 24th June 2016. ON/NOV16/G/028 ON/DEZ16/G/032 Ongentys obtained Marketing Authorization Approval from the European Commission on 24th June 2016. Currently it´s not available in all European Union countries. Acknowledgements The International Congress Oversight Committee of the 21st International Congress of Parkinson’s Disease and Movement Disorders wishes to acknowledge and thank the following companies for their support: Platinum Level Gold Level Silver Level Bronze Level Above companies are confirmed as of December 15, 2016. 34 Advance. Improve. 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